Password RSE826826 Grant Wyper Senior Researcher gwypernhsnet Burden of Disease Methodological Workshop 1516th September 2016 Royal Society of Edinburgh Scotland Burden of Disease Methodological workshop ID: 1045068
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2. Grant WyperSenior Researchergwyper@nhs.netBurden of Disease Methodological Workshop, 15-16th September 2016Royal Society of Edinburgh, ScotlandBurden of Disease Methodological workshopRoyal Society of Edinburgh Scotland15th-16th September, 2016
3. Welcome to Scotland
4. Scottish National Burden of Disease, Injuries and Risk Factors StudyDevelopment and preliminary findingsDr Diane StocktonPrincipal Investigatordiane.stockton@nhs.net
5. Scottish Public Health Observatory collaborationNHS National Services Scotland, provides health information, health intelligence, statistical services and advice that support the NHS in Scotland in progressing quality improvement in health and care and facilitating robust planning and decision making. They maintain and analyse all routinely collected national health data.NHS Health Scotland is the national agency for improving population health and reducing inequalities in health. Its work covers every aspect of health improvement, from gathering evidence, to planning, delivery and evaluation, and spans all the wider determinants that can impact on health .
6. Scottish BOD project teamPrincipal investigatorProject Board (Advisors) Principal researcherAnalytical and research teamDiane StocktonColin FischbacherGerry McCartneyRichard DobbieIan GrantOscar Mesalles-NaranjoGrant WyperElaine Tod
7. Introducing our other Scottish colleaguesProject Board:Prof Harry Campbell – Project Board chairOliver Harding – consultant in a local public health departmentMarjorie Marshall – Scottish Government economistFuture users of the BOD results:Mag McFadden –Scottish Government analystNeil Craig – Health economistLouise Marryat – Researcher
8. Idea formed in 2011Project started in July 2013Initially funded through an NHS grant for 2 years… Publishing results in January 2017Scottish National Burden of Disease, Injuries and Risk Factors study
9. Aims (1)Provide comprehensive data on health needs to support rational resource allocation.To identify inequalities in the burden of disease across sub-populations and socio-economic groups.To analyse the contribution to this burden of selected risk factors.To provide epidemiological information against which to compare the relative impacts of interventions in reducing the burden of disease and to inform economic evaluation of those interventions.
10. Aims (2)To help address the future challenges posed by the ageing of the population, changes in disease and risk factor patterns, and the increasing costs of health services through the production of projections of the disease burden.To assess whether the large effort to undertake a Burden of Disease study for Scotland, is warranted, by comparing our results to the results that can be obtained for Scotland from the GBD study.
11. Scottish BOD study – DALY componentsList of diseases (GBD organisational disease classification)Mortality (Scottish data and Scottish age-gender-deprivation specific life tables)MorbidityPrevalence (Scottish data, clinical advice and literature reviews)Severity distributions (GBD severity distributions used but some exploratory analysis looking at impact of using local distributions)Disability weights (GBD weights used)Comorbidity (Scottish data and methods)Uncertainty (Scottish methods)
12. Preliminary findingsScottish National Burden of Disease, Injuries and Risk Factors Study
13. PRELIMINARY RESULTSDiseaseGBD 2013Scotland 2012Ischemic heart disease130,476110,869êChronic obstructive pulmonary disease65,28165,843sTrachea, bronchus, and lung cancers75,83565,000êCerebrovascular disease70,77348,049êNeck and low back pain179,09444,373êOther musculoskeletal disorders26,61239,074éAlzheimer's disease and other dementias47,98937,237êNon-infective inflammatory bowel disease8,49929,850éOral disorders19,58229,641éCirrhosis30,07529,352sTop 10 crude DALYS in Scotland (44% of estimated burden)
14. Plans for the futureScottish National Burden of Disease, Injuries and Risk Factors Study
15. Activity to end March 2017Continued engagement with clinicians, epidemiologists and policy colleagues to refine estimates (now-Dec 2016)Overall results by age, sex and socio-economic group published on our website – report and excel spreadsheets (January 2017) Technical report published (January 2017)Risk factor work (ongoing)Projections work undertaken and published on our website (March 2017)Topic specific scientific papers written (ongoing)Promotion of results through presentations to government policy colleagues and planners; short briefing papers written (Dec 16-March 17)
16. Activity after March 2017Funding for the analytical/research team uncertain after March 2017. Options being explored to avoid loss of expertise gained.PI and clinical advisors will continue to promote the work within their roles.Health economist colleagues will pick up the data for economic analysis and planning
17. http://www.scotpho.org.uk/comparative-health/burden-of-diseasediane.stockton@nhs.netwww.scotpho.org.uk